Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Carrier's Report of Issuance of Policy

Form ID:

OWCP LS-570

Control ID:

OMB No.: 1240-0004

Expiration date:

Thu, 31 Aug 2028 - 23:59

Forms

OWCP LS-570: Carrier's Report of Issuance of Policy